ANOTHER INTERESTING CASE...

A 54 Year old hispanic male presented with rectal bleed at an area hospital
and was admitted.  A subsequent Colonoscopy reported fragments of Colonic Adenocarcinoma.

The patieent underwent a partial colectomy which revealed an Enteric type Adenocarcinoma Grade 2 (moderatelly differentiated invading the Muscularis  propria and into the pericolic fat without involvement of the Serosa
perineurL/VASCULAR/ AND LYMPHATIC INVASION NOT SEEN
13 nodes obtained none with Metastatic disease
the liver contains a calcified granuloma

we elected to observe this patient
since chemotherapy will not benefit him by adding more than 5 % survival rates
Only those with poorly differentiated carcinoma..."T4, perforation or Obstruction, and less than 10 nodes removed, and angiolymphatic invasion" ASCO.